Sevald Høye

• Dangmann, Cecilie Ruud; Solberg, Øivind; Steffenak, Anne Kjersti Myhrene; Høye, Sevald & Andersen, Per Normann (2021). Syrian refugee youth resettled in Norway: mechanisms of resilience influencing health-related quality of life and mental distress. Frontiers in Public Health. ISSN 2296-2565. doi: 10.3389/fpubh.2021.711451. Fulltekst i vitenarkiv Vis sammendrag

  Background: The importance of resilience factors in the positive adaptation of refugee youth is widely recognised. However, their actual mechanism of impact remains under-researched. The aim of this study was therefore to explore protective and promotive resilience mechanisms to inform future interventions and policy. Promotive resilience is seen as a direct main effect and protective resilience as a moderating effect. Methods: This was a cross-sectional study of Syrian youth recently resettled in Norway, aged 13–24 years. Regression and moderation analyses were used to explore different interactions, including moderated mediation using the PROCESS macro for SPSS. Result: A direct main effect of promotive resilience was found for health-related quality of life (HRQoL) and general mental distress, but not for post-traumatic stress disorder (PTSD). No moderating effects of protective resilience were found. Post-migration stressors mediated the effects of potentially traumatic events (PTE) from war and flight, and this indirect effect was present at all levels of resilience. Conclusion: Despite high risk exposure and mental distress, resilience was also high. Broad resilience interventions targeting multiple factors would likely benefit the group, but these should include both individual assets and building supportive environments. Additionally, reducing current stress and providing treatment for those in need could enable recovery and increase the efficacy of resilience factors already present.

• Gjestvang, Bodil; Høye, Sevald & Bronken, Berit Arnesveen (2020). Aspiring for competence in a multifaceted everyday life: A qualitative study of adult students’ experiences of a blended learning master programme in Norway. International Journal of Nursing Sciences. ISSN 2352-0132. doi: 10.1016/j.ijnss.2020.11.001. Fulltekst i vitenarkiv Vis sammendrag

  Aim: To gain knowledge of how adult students experienced the first year of a blended learning master programme to better understand their learning process. Methods: A qualitative, exploratory, descriptive study based on data from two focus group interviews with students attending a blended learning Master programme. Qualitative content analysis based on Graneheim and Lundman’s procedures was applied. Findings: Our analyses revealed one main theme: aspiring for competence in a multifaceted everyday life and four main categories: acquiring professional competence, struggling to manage diverse forms of communication, demanding task juggling and confused student role. Conclusions: The participants experienced that the programme enabled them to acquire professional competence relevant to practice. Despite the challenges, the programme is recommended for prospective students who live in both urban and rural areas, who are working and also responsible for children and other family tasks

• Dangmann, Cecilie Ruud; Solberg, Øivind; Steffenak, Anne Kjersti Myhrene; Høye, Sevald & Andersen, Per Normann (2020). Health-related quality of life in young Syrian refugees recently resettled in Norway. Scandinavian Journal of Public Health. ISSN 1403-4948. 48(7). doi: 10.1177/1403494820929833. Fulltekst i vitenarkiv Vis sammendrag

  Aims: Millions have fled from the civil unrest in Syria, and half of these are children and youth. Although they are a population with an elevated risk of health problems due to adverse pre-migratory and post-migratory experiences, few studies have explored their health-related quality of life (HRQoL). This is considered a fundamental construct in public health and might provide complementary descriptions of their health and well-being after resettling in a new country. Methods: This was a cross-sectional study of 160 Syrian youth aged 13–24 years. Using KIDSCREEN-27, the results for five dimensions of HRQoL was compared to population norm data. Demographic factors and war-related adverse events were used to predict HRQoL in hierarchical regression. Results: For most participants, the overall HRQoL was good, but it was lower in the dimensions for friends, physical well-being and psychological well-being compared to population norms. Scores in the dimensions for autonomy/parental relation and the school environment were high and were the main contributors to a positive HRQoL. Age and number of reported stressful events (SE) had the greatest impact on HRQoL, but the final regression model only accounted for 21% of the total variance. Conclusions: HRQoL is a relevant and non-invasive measure for refugee youth. Contributors to lower scores in physical and psychological well-being should be explored further and indicate the potential for future interventions focussing on general psychological well-being and networks, regardless of the SE that have been experienced. These interventions could potentially be based in schools or in families in order to benefit from these being seemingly safe environments for the majority of the group.

• Skavern, Hege Jansen; Høye, Sevald & Ødbehr, Liv Skomakerstuen (2020). Hvordan lærer sykepleierstudenter med lave opptakskarakterer anatomi, fysiologi og biokjemi (AFB)? UNIPED. ISSN 1500-4538. 43(01). doi: 10.18261/issn.1893-8981-2020-01-05. Fulltekst i vitenarkiv Vis sammendrag

  Det er en sammenheng mellom bachelorstudentenes karakterpoeng fra videregående skole og resultater til eksamen i anatomi, fysiologi, biokjemi (AFB). Enkelte studenter med lavere opptakskarakterer enn landsgjennomsnittet oppnådde bedre eksamensresultat enn det nasjonale gjennomsnittsresultatet i AFB for 2016. Hensikten med studien var å undersøke hvordan bachelorstudenter i sykepleie med lave opptakspoeng og gode eksamensresultater i AFB lærte og tilegnet seg emnet. Studien har et kvalitativ forskningsdesign og det ble gjennomført semistrukturerte intervju av 12 bachelorstudenter i sykepleie, som ble analysert ved hjelp av innholdsanalyse. Funnene er beskrevet ut fra tre hovedkategorier: A) Relevansen til sykepleieryrket styrker læring, B) tilhørighet har betydning for læring, og C) læring skjer i samarbeid med andre. Vi fant at studentene lærte AFB mer inngående i samhandling med andre studenter. Samlinger på campus er viktig for studenters læring, til tross for at det er stort fokus på fleksible utdanninger og digitale pedagogiske metoder. Selvstendig arbeid kombinert med læring i et sosialt studentfellesskap, oppgis som motivasjonsfaktorer til målrettet arbeid med studiene. Studentene erfarer mestringsforventning, i et miljø som preges av anerkjennelse og samtidig gir opplevelse av tilhørighet. Studentene vektlegger studienes relevans sett i lys av det profesjonsyrket som de utdanner seg til, som en betydningsfull motivasjonsfaktor for læring.

• Renolen, Åste; Hjaelmhult, Esther; Høye, Sevald; Danbolt, Lars Johan & Kirkevold, Marit (2019). Creating room for evidence-based practice: Leader behavior in hospital wards. Research in Nursing and Health. ISSN 0160-6891. 43(1), s. 1–13. doi: 10.1002/nur.21981. Fulltekst i vitenarkiv Vis sammendrag

  Abstract The integration (routinizing and sustaining) of evidence-based practice (EBP) into hospital management is a key element for improving patient safety and ensuring better patient outcomes. Hospital managers and clinical leaders play crucial roles in this integration. Interactions between leaders and integration context influence the improvement's quality, but leader-based actions that are effective for improving nursing practice remain unclear. The relationship between leaders could also either hinder or enable this implementation process. The aim of this study was to generate a theory about patterns of leader behavior that leaders are engaged in when attempting to integrate EBP in a clinical setting. We used a classic grounded theory methodology to generate a substantive EBP theory. In this study, through participant observation, we observed 63 nurses (15 specialist, 39 registered, and 9 assistant nurses). From these, five ward leaders (two head nurses, one assistant head nurse, and two teaching nurses) participated in individual interviews, and 18 clinical nurses participated in four focus groups. "Creating room for EBP" emerged as a theory for explaining the way in which the leaders attempted to resolve their main concern: How to achieve EBP treatment and care with tight resources and without overextending the nurses. Creating room for EBP encompasses a process of interactions, including positioning for, executing, and interpreting responses to EBP.

• Renolen, Åste; Hjaelmhult, Esther; Høye, Sevald; Danbolt, Lars Johan & Kirkevold, Marit (2019). Evidence‐based practice integration in hospital wards—The complexities and challenges in achieving evidence‐based practice in clinical nursing. Nursing Open. ISSN 2054-1058. 6(3), s. 815–823. doi: 10.1002/nop2.259. Fulltekst i vitenarkiv Vis sammendrag

  Abstract: Aim: Exploring the processes involved in two different strategies to integrate evidence‐based practice into nursing practice. Design: Classical grounded theory methodology was used. Methods: Data were collected through 90 hr of observation and 4 focus groups among clinical nurses in two different hospital wards. Results: We identified a multidimensional evidence‐based practice integration framework that illuminates the complexities involved in the integration process. The dimensions were approaches to evidence‐based practice, positions of evidence‐based practice and levels of evidence‐based practice. The interactions between the dimensions gave five combinations; an explicit evidence‐based practice performed as a parallel to daily work at the systems level, an implicit evidence‐based practice integrated into daily work at the systems level, an explicit evidence‐based practice integrated into daily work at the individual level, an explicit evidence‐based practice integrated into daily work at the systems level and an implicit evidence‐based practice integrated into daily work at the individual level.

• Steinseth, Else Berit; Høye, Sevald & Hov, Reidun (2018). Use of the CAM-ICU during daily sedation stops in mechanically ventilated patients as assessed and experienced by intensive care nurses – A mixed-methods study. Intensive & Critical Care Nursing. ISSN 0964-3397. 47, s. 23–29. doi: 10.1016/j.iccn.2018.04.005. Vis sammendrag

  Background Mechanically ventilated patients are at risk of developing delirium, which increases mortality and prolongs their stay in the Intensive Care Unit (ICU). Aim To investigate the assessment of delirium by ICU nurses and their experiences of using the Confusion Assessment Method for Intensive Care Unit (CAM-ICU) in mechanically ventilated patients during daily sedation stops. Methods The study employed an explanatory sequential mixed-methods design. The data (n = 30) were collected by two nurses who assessed the same patient (n = 15) using the tool. Data from the nurses’ assessments were analysed by means of frequency analysis, while the interviews were analysed phenomenographically using Dahlgren and Fallberg’s seven categories. Findings Four pairs of nurses made similar assessments, three pairs had differing assessments and in eight pairs, one of the nurses did not fill in the form properly. The interviews revealed variations in ICU nurses’ preparation for, views on and use of the CAM-ICU. Conclusion Assessment and use of the CAM-ICU revealed variations, indicating the necessity of identifying barriers within the ICU team. ICU nurses need training in the use of the CAM-ICU and support in their decision–making. The individual nurse must take responsibility for updating their knowledge and for following guidelines.

• Furnes, Merete; Kvaal, Kari & Høye, Sevald (2018). Communication in mental health nursing - Bachelor Students' appraisal of a blended learning training programme - An exploratory study. BMC Nursing. ISSN 1472-6955. 17(1). doi: 10.1186/s12912-018-0288-9. Fulltekst i vitenarkiv Vis sammendrag

  Background It is important that mental health nursing students at Bachelor level obtain effective communication skills. Many students dread the fact that in the mental health field they will encounter patients and relatives with various backgrounds and personalities. Large classes and limited teaching resources in nursing education are challenging. To prepare students for mental health nursing practice, a communication skills course based on the blended learning method was developed and carried out at two different campuses. The aim of the study is to explore Bachelor nursing students’ appraisal of blended learning methods for enhancing communication skills in mental health nursing. Methods This study employed an exploratory design. Teaching and information materials were available on the learning management system (LMS). Videotaped role play training was carried out in the Simulation Department. Data were collected after the course by means of a questionnaire with closed and open-ended questions. The response rate was 59.2%. Quantitative data were analysed using the Statistical package for the Social Sciences (SPSS) and the Kruskal Wallis test, while qualitative data were analysed by content analysis based on Graneheim and Lundman’s approach. Results No impact of background variables was observed. Students appreciated teachers’ participation in role play and immediate feedback was considered especially important for learning outcomes. The students perceived that their communication skills and knowledge had improved after completing the blended learning programme. Conclusions According to the nursing students, blended learning is an appropriate method for improving communication skills in preparation for mental health nursing. Blended learning makes it possible to build flexible courses with limited resources.

• Hov, Reidun; Kvigne, Kari Johanne; Ilyas, Aiyub; Gillund, Margrethe Valen; Hermansyah, Hasan & Nordström, Gun [Vis alle 11 forfattere av denne artikkelen] (2018). Nurses' contributions to health: Perceptions of first-year nursing students in Scandinavia and Indonesia. Nordic journal of nursing research. ISSN 2057-1585. 38(4), s. 187–195. doi: 10.1177/2057158517747181. Vis sammendrag

  Nursing students need an understanding of how nurses care for people's health from a global perspective. The aim of this study was to explore how nurses can contribute to health from the perspectives of first-year nursing students in Scandinavia (Sweden, Norway) and Indonesia. Data were collected using an open-ended question about nurses’ contribution to health, and analysed using qualitative content analysis. Three common categories emerged: ‘Promoting health and preventing disease’, ‘Performing care and treatment’, ‘Establishing a relationship with patients and being compassionate’. ‘Possessing and implementing knowledge and skills’ was common to Norway and Indonesia. ‘Being a team member’ was emphasised by the Indonesian participants. The Norwegian participants focused on health promotion, whereas those from Indonesia prioritised disease prevention. The Scandinavian participants emphasised individuality, while those from Indonesia focused on the community. The findings indicate that nursing education should take account of different cultures and include student exchange programmes.

• Renolen, Åste; Høye, Sevald; Hjaelmhult, Esther; Danbolt, Lars Johan & Kirkevold, Marit (2018). “Keeping on track” − Hospital nurses’ struggles with maintaining workflow while seeking to integrate evidence-based practice into their daily work: A grounded theory study. International Journal of Nursing Studies. ISSN 0020-7489. 77, s. 179–188. doi: 10.1016/j.ijnurstu.2017.09.006. Fulltekst i vitenarkiv Vis sammendrag

  Background Evidence-based practice is considered a foundation for the provision of quality care and one way to integrate scientific knowledge into clinical problem-solving. Despite the extensive amount of research that has been conducted to evaluate evidence-based practice implementation and research utilization, these practices have not been sufficiently incorporated into nursing practice. Thus, additional research regarding the challenges clinical nurses face when integrating evidence-based practice into their daily work and the manner in which these challenges are approached is needed. Objectives The aim of this study was to generate a theory about the general patterns of behaviour that are discovered when clinical nurses attempt to integrate evidence-based practice into their daily work. Design We used Glaser’s classical grounded theory methodology to generate a substantive theory. Settings The study was conducted in two different medical wards in a large Norwegian hospital. In one ward, nurses and nursing assistants were developing and implementing new evidence-based procedures, and in the other ward, evidence-based huddle boards for risk assessment were being implemented. Participants A total of 54 registered nurses and 9 assistant nurses were observed during their patient care and daily activities. Of these individuals, thirteen registered nurses and five assistant nurses participated in focus groups. These participants were selected through theoretical sampling. Methods Data were collected during 90 hours of observation and 4 focus groups conducted from 2014 to 2015. Each focus group session included four to five participants and lasted between 55 and 65 minutes. Data collection and analysis were performed concurrently, and the data were analysed using the constant comparative method. Results “Keeping on track” emerged as an explanatory theory for the processes through which the nurses handled their main concern: the risk of losing the workflow. The following three strategies were used by nurses when attempting to integrate evidence-based practices into their daily work: “task juggling”, “pausing for considering” and “struggling along with quality improvement”. Conclusions The “keeping on track” theory contributes to the body of knowledge regarding clinical nurses’ experiences with evidence-based practice integration. The nurses endeavoured to minimize workflow interruptions to avoid decreasing the quality of patient care provided, and evidence-based practices were seen as a consideration that was outside of their ordinary work

• Myhre, Janne; Tonga, Johanne Bjørnstad; Ulstein, Ingun; Høye, Sevald & Kvaal, Kari (2018). The coping experiences of spouses of persons with dementia. Journal of Clinical Nursing (JCN). ISSN 0962-1067. 27(3-4), s. e495–e502. doi: 10.1111/jocn.14047. Vis sammendrag

  Aims and objectives The aim of the present study was to explore how spouses who are caregivers to persons with dementia experience everyday life six to twelve months after participation in the intervention condition in the Norwegian Cognitive Behavioural Therapy for Early Dementia (N-CORDIAL) study. Background There is no current medical curative treatment for cognitive impairment and dementia-associated conditions. These conditions will lead to an increased need for daily assistance and care, as well as greater stress for caregivers. The Norwegian CORDIAL Study is a manual-based randomized controlled trial based on the German CORDIAL study (Cognitive rehabilitation and cognitive behavioural treatment for early dementia in Alzheimer's disease), consisting of cognitive rehabilitation, cognitive behavioural therapy and life review methods. Design and Methods A descriptive exploratory study with qualitative semi-structured in-depth interviews with six spouses of persons with dementia who had participated in the Norwegian CORDIAL study. The transcribed text was analysed by systematic text condensation. Result The main theme identified, “An everyday search for meaning”, referred to the stress experienced by the caregivers and their coping strategies in everyday life. Conclusion The caregivers had gained increased awareness of coping strategies in everyday life six to twelve months after the intervention. Caregivers who experienced fewer neuropsychiatric symptoms in their spouses with dementia benefitted most from the intervention.

• Sandsdalen, Tuva; Høye, Sevald; Rystedt, Ingrid; Grøndahl, Vigdis Abrahamsen; Hov, Reidun & Larsson, Bodil Wilde (2017). The relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality. BMC Palliative Care. ISSN 1472-684X. 16, s. 1–13. doi: 10.1186/s12904-017-0240-x. Fulltekst i vitenarkiv Vis sammendrag

  Little is known about the combination of person- and organization- related conditions and the relationships with patients’ perspectives of care quality. Such a combination could contribute knowledge reflecting the complexity of clinical practice, and enhance individualized care. The aim was to investigate the relationships between the combination of person- and organization-related conditions and patients’ perceptions of palliative care quality. Methods A cross-sectional study, including 191 patients in the late palliative phase (73% response rate) admitted to hospice inpatient care (n = 72), hospice day care (n = 51), palliative units in nursing homes (n = 30) and home care (n = 38), was conducted between November 2013 and December 2014, using the instrument Quality from the Patients’ Perspective specific to palliative care (QPP-PC). Data were analysed, using analysis of covariance, to explore the amount of the variance in the dependent variables (QPP-PC) that could be explained by combination of the independent variables – Person- and organization-related conditions, − while controlling for differences in covariates. Results Patients scored the care received and the subjective importance as moderate to high. The combination of person- and organization - related conditions revealed that patients with a high sense of coherence, lower age (person – related conditions) and being in a ward with access to and availability of physicians (organization-related condition) might be associated with significantly higher scores for the quality of care received. Gender (women), daily contact with family and friends, and low health-related quality of life (person-related conditions) might be associated with higher scores for subjective importance of the aspects of care quality. Conclusion Healthcare personnel, leaders and policy makers need to pay attention to person- and organization-related conditions in order to provide person-centered palliative care of high quality. Further studies from palliative care contexts are needed to confirm the findings and to investigate additional organizational factors that might influence patients’ perceptions of care quality.

• Larsson, Bodil Wilde; Aiyub, Ilyas; Hermansyah, Hasan; Hov, Reidun; Høye, Sevald & Gillund, Margrethe Valen [Vis alle 9 forfattere av denne artikkelen] (2017). Critical thinking, research utilization and barriers to this among nursing students in Scandinavia and Indonesia. Nordic journal of nursing research. ISSN 2057-1585. 38(1), s. 28–37. doi: 10.1177/2057158517704398. Vis sammendrag

  The aim of this study was to describe and compare perceptions of critical thinking, attitudes to and availability of research, research utilization and barriers to this among nursing students in Scandinavia and Indonesia. Data were collected at the beginning, middle and end of education from nursing students in Norway, Sweden (bachelor’s diploma) and Banda Aceh (bachelor’s diploma). Critical Thinking and Research Utilization Questionnaires were used along with the Barrier Scale. Descriptive analyses, comparisons between and within groups were performed. At the end of education, all samples exhibited positive attitudes to research and the main barrier was related to the setting. Scandinavian students reported higher critical thinking. Indonesian students perceived greater barriers on two Barrier subscales. No differences were found between the samples regarding research utilization. Significant changes over time varied among the samples except for the Norwegian sample. Indonesian students (diploma) exhibited most changes over time. Teachers must support nursing students to strengthen their critical thinking ability and develop professional competence.

• Høye, Sevald (2016). Å se mennesket i sitt kulturelle uttrykk. I Fredriksen, Sven-Tore Dreyer & Halvorsen, Kristin (Red.), Fenomener i intensivsykepleie. Cappelen Damm Akademisk. ISSN 9788202423001. s. 78–95. Vis sammendrag

  Fenomener i intensivsykepleie handler om intensivpasienters situasjon og erfaringer, og drøfter de utfordringene pasienter, pårørende og sykepleiere møter i intensivsituasjoner. Boken viser hvordan intensivsykepleie også har aktualitet utenfor sykehus, blant annet i hjemmet og i sykehjem. Forskningen gir ny kunnskap og innspill til håndtering av pasientsituasjoner, ressursfordeling og beslutningsprosesser. Fenomener i intensivsykepleie er skrevet for studenter, forskere, veiledere og undervisere. Den er også aktuell og nyttig for helsepersonell og ansatte både innen spesialist- og kommunehelsetjenesten.

• Sandsdalen, Tuva; Grøndahl, Vigdis Abrahamsen; Hov, Reidun; Høye, Sevald; Rystedt, Ingrid & Larsson, Bodil Wilde (2016). Patients' perceptions of palliative care quality in hospice inpatient care, hospice day care, palliative units in nursing homes and home care: a cross-sectional study. BMC Palliative Care. ISSN 1472-684X. 15(79). doi: 10.1186/s12904-016-0152-1. Fulltekst i vitenarkiv Vis sammendrag

  Background: Patients’ perceptions of care quality within and across settings are important for the further development of palliative care. The aim was to investigate patients’ perceptions of palliative care quality within settings, including perceptions of care received and their subjective importance, and contrast palliative care quality across settings. Method: A cross-sectional study including 191 patients in late palliative phase (73 % response rate) admitted to hospice inpatient care, hospice day care, palliative units in nursing homes, and home care was conducted, using the Quality from the Patients’ Perspective instrument-palliative care (QPP-PC). QPP-PC comprises four dimensions and 12 factors; “medical–technical competence” (MT) (2 factors), “physical–technical conditions” (PT) (one factor), “identity–orientation approach” (ID) (4 factors), “sociocultural atmosphere” (SC) (5 factors), and three single items (S); medical care, personal hygiene and atmosphere. Data were analysed using paired-samples t-test and analysis of covariance while controlling for differences in patient characteristics. Results: Patients’ perceptions of care received within settings showed high scores for the factors and single items “honesty” (ID) and “atmosphere” (S) in all settings and low scores for “exhaustion” (MT) in three out of four settings. Patients’ perceptions of importance scored high for “medical care” (S), “honesty” (ID), “respect and empathy” (ID) and “atmosphere” (S) in all settings. No aspects of care scored low in all settings. Importance scored higher than perceptions of care received, in particular for receiving information. Patients’ perceptions of care across settings differed, with highest scores in hospice inpatient care for the dimensions; ID, SC, and “medical care” (S), the SC and “atmosphere” (S) for hospice day care, and “medical care” (S) for palliative units in nursing homes. There were no differences in subjective importance across settings. Conclusion: Strengths of services related to identity–orientation approach and a pleasant and safe atmosphere. Key areas for improvement related to receiving information. Perceptions of subjective importance did not differ across settings, but perceptions of care received scored higher in more care areas for hospice inpatient care, than in other settings. Further studies are needed to support these findings, to investigate why perceptions of care differ across settings and to highlight what can be learned from settings receiving high scores.

• Høye, Sevald; Kvigne, Kari; Aiyub, Ilyas; Gillund, Margrethe Valen; Hermansyah, Hasan & Nordström, Gun [Vis alle 11 forfattere av denne artikkelen] (2016). A Healthy Person: The Perceptions of Indonesian and Scandinavian Nursing Students. Global Qualitative Nursing Research. ISSN 2333-3936. 3, s. 1–9. doi: 10.1177/2333393616651766. Fulltekst i vitenarkiv Vis sammendrag

  The purpose of this exploratory study was to investigate how nursing students in Indonesia and Scandinavia characterize a healthy person. Two hundred thirty-two nursing students from Indonesia, 50 students from Sweden, and 119 students from Norway participated by answering an open-ended question. Qualitative content analysis was used to identify patterns of health in a cultural and national context. The characteristics of a healthy person were summarized in the theme “external and inner balance,” which are intertwined because of the wholeness of self-image and appearance. The subcategories were having a strong and positive body image, feeling well and having inner harmony, following the rules of life, coping with challenges, and acting in unison with the environment. There were more similarities than differences between the Indonesian and Scandinavian nursing students’ understanding of being a healthy person. The difference is that the Scandinavian students mentioned individuality, whereas the Indonesian students referred to collective values.

• Leirvik, Åse Monica; Høye, Sevald & Kvigne, Kari (2016). Mat, måltider og ernæring på sykehjem - erfaringer fra et aksjonsforskningsprosjekt. Nordisk sygeplejeforskning. ISSN 1892-2678. 6(2), s. 179–197. doi: 10.18261/issn.1892-2686-2016-02-07. Vis sammendrag

  Den overordnede målsetting for dette samarbeidsprosjektet mellom Høgskolen i Hedmark og seks sykehjem hvor sykepleierstudenter gjennomfører sine praksisstudier, var å forbedre kvaliteten på sykepleien til pasientene innen området mat, måltider og ernæring. Hensikten var videre å styrke sykepleiepersonalet og studentene sin kompetanse i kritisk granskning av egen praksis, i tillegg til å gi erfaring i å søke etter forskningsresultater, vurdere disse og implementere endringer i praksis. Prosjektet hadde en aksjonsforskningsorientert tilnærming, og det ble benyttet både prosess- og summativ evaluering. Sykepleiepersonalet valgte selv forbedringsområder relatert til to hovedområder: 1) ro og trivsel rundt måltidene, og 2) kartlegging og oppfølging av pasientenes ernæringsstatus. Gjennom arbeid i et sykepleienettverk, og ved å følge den kunnskapsbaserte arbeidsprosessen, ble en rekke tiltak iverksatt, bl.a. gjennom at personalet ble mer bevisst eget ansvar for ro og trivsel under måltidene, tilrettelegging av spisesituasjonen, flere mellommåltider, energiberiket kost, og individuell kartlegging og oppfølging av pasientene. Prosjektet medførte verdifulle endringer innen området mat, måltider og ernæring på sykehjem. Personalet utviklet sin kompetanse i kritisk å granske egen virksomhet, og ble gradvis mer orientert mot forskningsbasert kunnskap.

• Moldjord, Wenke; Høye, Sevald & Kvigne, Kari (2015). Overvekt hos gravide - en utfordring i svangerskapsomsorgen. Nordisk tidsskrift for helseforskning. ISSN 1504-3614. 11(2), s. 43–60. doi: 10.7557/14.3712. Fulltekst i vitenarkiv Vis sammendrag

  The purpose of this study is to gain knowledge about the challenges midwives and public nurses are experiencing in health prevention and health promotion to obese pregnant women, and their reflections regarding the need for change in practice. Method: The study has a qualitative exploratory design. Data was created by multistage focus group interviews and analyzed inspired by Lundman and Granheim’s content analysis. The focus groups consisted of midwives and public health nurses. Results: The informants were aware that obesity in pregnancy may cause complications for both mother and child, but they experienced obesity and lifestyle changes as challenging in antenatal care. Weight and body were perceived as something vulnerable. Informants found it hard to talk about weight because they were afraid of reactions from the pregnant women. They also expressed insecurity regarding their own expertise when it comes to communication and nutrition. Informants expressed the need for more interdisciplinary cooperation between different health workers in community health. They experienced such cooperation difficult to achieve.

• Sandsdalen, Tuva; Rystedt, Ingrid; Grøndahl, Vigdis Abrahamsen; Hov, Reidun; Høye, Sevald & Larsson, Bodil Wilde (2015). Patients’ perceptions of palliative care: adaptation of the Quality from the Patient’s Perspective instrument for use in palliative care, and description of patients’ perceptions of care received. BMC Palliative Care. ISSN 1472-684X. doi: 10.1186/s1204-015-0049-4. Fulltekst i vitenarkiv Vis sammendrag

  Background: Instruments specific to palliative care tend to measure care quality from relative perspectives or have insufficient theoretical foundation. The instrument Quality from the Patient’s Perspective (QPP) is based on a model for care quality derived from patients’ perceptions of care, although it has not been psychometrically evaluated for use in palliative care. The aim of this study was to adapt the QPP for use in palliative care contexts, and to describe patients’ perceptions of the care quality in terms of the subjective importance of the care aspects and the perceptions of the care received. Method: A cross-sectional study was conducted between November 2013 and December 2014 which included 191 patients (73 % response rate) in late palliative phase at hospice inpatient units, hospice day-care units, wards in nursing homes that specialized in palliative care and homecare districts, all in Norway. An explorative factor analysis using principal component analysis, including data from 184 patients, was performed for psychometric evaluation. Internal consistency was assessed by Cronbach’s alpha and paired t-tests were used to describe patients’ perceptions of their care. Results: The QPP instrument was adapted for palliative care in four steps: (1) selecting items from the QPP, (2) modifying items and (3) constructing new items to the palliative care setting, and (4) a pilot evaluation. QPP instrument specific to palliative care (QPP-PC) consists of 51 items and 12 factors with an eigenvalue ≥1.0, and showed a stable factor solution that explained 68.25 % of the total variance. The reliability coefficients were acceptable for most factors (0.79–0.96). Patients scored most aspects of care related to both subjective importance and actual care received as high. Areas for improvement were symptom relief, participation, continuity, and planning and cooperation. Conclusion: The QPP-PC is based on a theoretical model of quality of care, and has its roots in patients’ perspectives. The instrument was developed and psychometrically evaluated in a sample of Norwegian patients with various diagnoses receiving palliative care in different care contexts. The evaluation of the QPP-PC shows promising results, although it needs to be further validated and tested in other contexts and countries

• Sandsdalen, Tuva; Hov, Reidun; Høye, Sevald; Rystedt, Ingrid & Larsson, Bodil Wilde (2015). Patients' preferences in palliative care: A systematic mixed studies review. Palliative Medicine. ISSN 0269-2163. 29(5), s. 399–419. doi: 10.1177/0269216314557882. Vis sammendrag

  Background: It is necessary to develop palliative care to meet existing and future needs of patients and their families. It is important to include knowledge of patient preferences when developing high-quality palliative care services. Previous reviews have focused on patient preferences with regard to specific components of palliative care. There is a need to review research on patient’s combined preferences for all elements that constitute palliative care. Aim: The aim of this study is to identify preferences for palliative care among patients in the palliative phase of their illness, by synthesizing existing research. Data sources: Studies were retrieved by searching databases – the Cochrane Library, Medline, CINAHL, PsycINFO, Scopus and Sociological Abstracts – from 1946 to 2014, and by hand searching references in the studies included. Design: A systematic mixed studies review was conducted. Two reviewers independently selected studies for inclusion and extracted data according to the eligibility criteria. Data were synthesized using integrative thematic analysis. Results: The 13 qualitative and 10 quantitative studies identified included participants with different illnesses in various settings. Four themes emerged representing patient preferences for care. The theme ‘Living a meaningful life’ illustrated what patients strived for. The opportunity to focus on living required the presence of ‘Responsive healthcare personnel’, a ‘Responsive care environment’ and ‘Responsiveness in the organization of palliative care’. Conclusion: The four themes may be useful for guiding clinical practice and measurements of quality, with the overall goal of meeting future needs and improving quality in palliative care services to suit patients’ preferences.

• Høye, Sevald; Kvigne, Kari; Åström, Sture; Severinsson, Ingeborg Elisabeth & Öster, Inger (2014). Encounters between multicultural family members and the nurses in the context of intensive care. Clinical Nursing Studies. ISSN 2324-7940. 3(1), s. 89–99. doi: 10.5430/cns.v3n1p89. Vis sammendrag

  The increase in people on the move creates populations that are culturally diverse. People meet various challenges regarding the migration process, social life, jobs and health issues. When a person suffers from acute and critical illness, he/she may be in need of intensive care. The aim of this study was to explore the comprehension of culture, caring and gender among first and second generation immigrant women as relatives on their encounters with intensive care nurses in Norwegian hospitals. A design based upon discursive psychology to explore subject positions, interpretative repertoires and ideological dilemmas focused immigrant female relatives’ experiences with a cultural and gender perspective. Immigrants who were relatives to critically ill People were interviewed. The results of the discourse analysis revealed the following themes: being the caring person as woman, being intertwined between the Western hospital culture and the original family culture and belonging to a minority in a Western majority culture. Conclusion: The women in the families with a critically ill family member mainly act as the caring person. There are dilemmas in how much every family transfer the responsibility for their loved one to the nurses. Anxious attitudes regarding caring activities are rarely linked to their cultural background.

• Mikkelsgård, Karin Alice; Granerud, Arild & Høye, Sevald (2014). Deltakererfaringer fra samarbeidsprosjekt mellom NAV, 1. og 2. linjetjenesten; 'Arbeid, rus og psykisk helse'. Scandinavian Journal of Occupational Therapy. ISSN 1103-8128. 21(3), s. 172–180. doi: 10.3109/11038128.2014.882981. Vis sammendrag

  Bakgrunn og hensikt: Flere studier viser behovet for en enhetlig innsats fra Norsk Arbeids- og velferdsetaten (NAV) og ordinære helsetjenester for å støtte mennesker med psykiske lidelser som ønsker å vende tilbake til arbeid og samtidig motta behandling. Målet med den aktuelle kvalitative evalueringsstudien var å utvikle en dypere forståelse av deltakernes erfaringer med å være involvert i NAV-prosjektet kalt "Arbeid, rus og psykisk helse", som kunne bidra til at tjenestemottakere kombinerte arbeid og behandling. Metoder: Studien tok i bruk kvalitative forskningsintervjuer. Syv NAV prosjektdeltakere gjennomført et intervju og data fra intervjuene ble analysert ved hjelp av kvalitativ innholdsanalyse. Resultater: Resultatene tyder på at dette prosjektet er effektivt både fra et salutogent perspektiv og et recoveryorientert perspektiv. Økt appetitt på livet som et resultat av ulike former for støtte og en fleksibel personlig tjeneste med rask intervensjon ble identifisert. Resultatene viser også fenomener som bidro til stagnasjon og livslengsler, eller en reduksjon i livskvalitet. Konklusjon: Prosjektets suksess avhenger av NAV-kontoret. Fremtidig forskning bør undersøke samarbeidet mellom terapeuter og NAV-rådgivere, deltakernes ambivalens og utforsking av andre faktorer som er viktige for relasjonsbygging.

• Leiknes, Ingrid & Høye, Sevald (2012). Pårørendes erfaringer med tilgjengelig hjemmesykepleie til pasienter med Parkinsons sykdom . Nordisk sygeplejeforskning. ISSN 1892-2678. 2(1), s. 29–44. Vis sammendrag

  Pårørende utgjør en viktig del av den daglige pleie og omsorg for personer med Parkinsons sykdom. Når sykdommen utvikles vil mange ha behov for hjemmesykepleie. Målet med denne studien var å undersøke hvordan pårørende i nær familie med en person med Parkinsons sykdom opplever sin situasjon når de deler omsorgen med pleiere i hjemmesykepleien. Ni pårørende ble intervjuet. Intervjuene ble analysert innenfor en hermeneutisk ramme. Analyse av pårørendes opplevelse av sin situasjon sammenfattes i følgende tolkning: å være i døgnkontinuerlig beredskap selv når det mottas hjemmesykepleie. Denne bygger på tre undertema som viser tolkningen av ulike sider ved pårørendes erfaringer; problemer med å avklare og avgrense ansvar; avlasting er ikke ensbetydende med å føle seg trygg på og fornøyd med den hjelpen en får, og; krav til riktig administrering av parkinsonmedisin passer dårlig inn i hjemmesykepleiens rutiner. Studien viser at hjelp fra profesjonelle pleiere fra hjemmesykepleien ikke fritar pårørende deres opplevelse av å ha det overordnede ansvaret for omsorgen og pleien når deres nære lider av Parkinsons sykdom. Nøkkelord: hermeneutikk, konkurrerende behov, omsorgsansvar, skyld, tillit.

• Høye, Sevald (2011). Flerkulturalitet og folkehelse - to sider, samme sak? I Berger, Willy Ove; Høye, Sevald & Knudsen, Per Egil (Red.), Elverumsvisjoner. Artikler om folkehelse. WOBerger, SHøye, PEKnudsen. ISSN 9788230316979. s. 94–101. Vis sammendrag

  Kulturbegrepet settes opp mot folkehelsebegrepet og diskuteres ut fra nasjonalt og lokalt/kommunalt perspektiv. Konklusjonen er at folkehelse og flerkultur begge er av betydning for enkeltpersoners og grupper helsetilstand og verdier, og at begge påvirker hverandre gjensidig.

• Høye, Sevald & Severinsson, Elisabeth (2010). Professional and cultural conflicts for intensive care nurses. Journal of Advanced Nursing. ISSN 0309-2402. 66(4), s. 858–867. doi: 10.1111/j.1365-2648.2009.05247.x. Vis sammendrag

  Nurses need to negotiate with culturally diverse family members to address conflicts. In their encounters with such families, they should establish a balance between ethnocentricity and cultural sensitivity. An implication for practice is to increase nurses' competence in assessment of diversity.

• Høye, Sevald & Severinsson, Elisabeth (2010). Multicultural family members' experiences with nurses and the intensive care context: A hermeneutic study. Intensive & Critical Care Nursing. ISSN 0964-3397. 26(1), s. 24–32. doi: 10.1016/j.iccn.2009.10.003. Vis sammendrag

  Background The aim of this study was to illuminate the experiences of multicultural family members in intensive care units in hospitals, when a loved one was critically ill. An increasing migration from non-Western countries to Norway and potential double-stress for multicultural families experiencing critical illness are pre-understandings. Methods The study utilised a Gadamerian hermeneutic design. Data were collected through in-depth-interviews (n=5) and interpreted, inspired by Lindseth and Norberg?s phenomenological hermeneutical method. Findings Multicultural family members? experiences of their encounters with nurses were understood as: ?Struggling to preserve the families? cultural belonging within the health care system?, based on four themes: a) filtering information to reduce concern; b) understanding and being understood; c) protecting cultural traditions; and d) interaction between roles, rules and expectations. Conclusion Family members with a non-Western ethnic background experienced several challenges within the complex ICU environment. Multicultural family members had distinct strategies to deal with the hospitalisation of a critically ill loved one. Interaction difficulties and cultural traditions were not influenced by the environment alone, however the challenges seemed to deal with universal human interaction independent of the context. Nurses need to be sensitive to the families? cultural customs in order to meet their expectations in a respectful way.

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• Berger, Willy Ove; Høye, Sevald & Knudsen, Per Egil (2011). Elverumsvisjoner. Artikler om folkehelse. WOBerger, SHøye, PEKnudsen. ISBN 9788230316979. Vis sammendrag

  Artikler, essays og dikt utgitt i anledning åpningen av Terningen Arena i Elverum i januar 2011. Denne arenaen består av et flerbruksanlegg hvor idrett og kultur, høgere utdanning og en rekke helserelaterte virksomheter og Forsvaret er samlokalisert på den tradisjonsrike Terningmoen. Høgskolen i Hedmark er den dominerende leietakeren. Bidragene i artikkelsamlingen har folkehelse som hovedtema med bakgrunn i at både byen Elverum og Avdeling for helse- og idrettsfag ved Høgskolen i Hedmark har folkehelse som visjon. Bidragene er blitt til gjennom et dugnadsarbeid blant forfattere med interesse og ansvar innenfor folkehelserelaterte områder. Artikkelsamlingen er realisert etter initiativ av en gruppe ansatte i Høgskolen i Hedmark og støttet av Elverum kommune, Høgskolen i Hedmark og de ansattes organisasjoner i høgskolen.

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• Dangmann, Cecilie Ruud; Andersen, Per Normann; Steffenak, Anne Kjersti Myhrene; Høye, Sevald & Fjeld-Solberg, Øivind (2022). Barn og unge med fluktbakgrunn - betydningen av resiliensfaktorer for psykiske helse og livskvalitet.
• Dangmann, Cecilie Ruud; Andersen, Per Normann; Steffenak, Anne Kjersti Myhrene; Høye, Sevald & Fjeld-Solberg, Øivind (2022). Resilience in Syrian refugee youth.
• Høye, Sevald (2022). 2. opponent ved PhD-disputas for Lina Sophie Toft Lernevall, 'Support needs of parents of children with burns - A qualitative study of parents' experiences and need for support in relation to their childs's burn injury during hospitalisation and after discharge'. Vis sammendrag

• Høye, Sevald; Skaug, Marit Aralt; Gillund, Margrethe Valen; Hermansen, Trygve; Sunde, Svein Inge & Solvang, Berit B. (2021). Framtidig sykehusstruktur og utdanning av sykepleiere i Innlandet. [Avis]. Østlendingen.
• Høye, Sevald; Skaug, Marit Aralt; Gillund, Margrethe Valen; Hermansen, Trygve; Sunde, Svein Inge & Solvang, Berit B. (2021). Framtidig sykehusstruktur og utdanning av sykepleiere i Innlandet. [Avis]. Hamar Arbeiderblad.
• Høye, Sevald (2020). Førsteopponent ved PhD-disputas: Sanjana Arora - "Access to healthcare. A qualitative study of older Pakistani immigrant women's and informal caregivers' perceptions and experiences in Norway".
• Dangmann, Cecilie Ruud; Andersen, Per Normann; Solberg, Øivind; Steffenak, Anne Kjersti Myhrene & Høye, Sevald (2019). Health-Related Quality of Life in resettled refugee youth. European Journal of Public Health. ISSN 1101-1262. 29. doi: 10.1093/eurpub/ckz186.055.
• Dangmann, Cecilie Ruud; Andersen, Per Normann; Solberg, Øivind; Steffenak, Anne Kjersti Myhrene & Høye, Sevald (2019). Health-Related Quality of Life in resettled refugee youth.
• Dangmann, Cecilie Ruud; Andersen, Per Normann; Steffenak, Anne Kjersti Myhrene; Høye, Sevald & Solberg, Øivind (2019). Health Related Quality of Life in resettled refugee youth.
• Dangmann, Cecilie Ruud; Andersen, Per Normann; Steffenak, Anne Kjersti Myhrene; Høye, Sevald & Solberg, Øivind (2019). God start i Norge, helse og trivsel hos unge flyktninger.
• Pedersen, Ida Linn; Rosenlund, Mariann Kringsjå & Høye, Sevald (2019). "Kampen på sidelinjen" - pårørende til akutt kritisk syke i intensivavdeling: forebygging av depresjon og posttraumatisk stress. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. s. 6–10.
• Høye, Sevald; Sarvimäki, Anneli & Martinsen, Bente (2019). Førsteopponent i bedømmelsekomité - PhD Dissertation, Birgit Rasmussen, 'Meaningful living through engaging in physical activities - Experiences of aged adults from two weeks to 18 months after hip fracture'.
• Renolen, Åste; Hjälmhult, Esther; Høye, Sevald; Danbolt, Lars Johan & Kirkevold, Marit (2018). Leadership strategies in the integration of evidence-based practice in hospital wards.
• Høye, Sevald; Ulrica, Hörberg & Christina Louise, Lindhardt (2018). Leder av bedømmelseskomité for Wenche Wannebos PhD-avhandling: 'Om ungdom og psykisk helse - ung på hybel, sårbarhet og helsefremming'.
• Høye, Sevald (2018). Master i avansert klinisk sykepleie i kommunehelsetjenesten v.INN Campus Elverum .
• Høye, Sevald; Kvigne, Kari; Åström, Sture; Severinsson, Ingeborg Elisabeth & Öster, Inger (2018). Encounters between nurse practitioners and multicultural families in ICU. Vis sammendrag

  The increase in people on the move creates populations that are culturally diverse. People meet various challenges regarding the migration process, social life, jobs and health issues. When a person suffers from acute and critical illness, he/she may be in need of intensive care. The aim of the study was to explore the comprehension of culture, caring and gender among first and second generation immigrant women as relatives on their encounters with intensive care nurses in Norwegian hospitals. Design. Based upon discourse analysis an exploration of subject positions, interpretative repertoires and ideological dilemmas focused immigrant female relatives’ experiences with a cultural and gender perspective. Participants were recruited from three university hospitals and one regional hospital. The participants were family members of a patient who had been critically ill and admitted to the ICU for a minimum of three days. Immigrants who were relatives to critically ill people were interviewed. Findings. The following themes were revealed; being the caring person as woman, being intertwined between the Western hospital culture and the original family culture and belonging to a minority in a Western majority culture. Conclusion. The women in the families with a critically ill family member mainly act as the caring person. Dilemmas occur in how much every family transfer the responsibility for their loved one to the nurses. Anxious attitudes regarding caring activities are rarely linked to their cultural background. The implications for practice might be that nurse pratitioners has to take into account that immigrant family members want to take part in caring activities. The nurse practitioners should ask families about cultural habits when a family member is critically ill. Further research should explore understanding of how to manage nursing leadership among patients and families with cultural backgrounds different from nurses

• Høye, Sevald; Kvigne, Kari; Aiyub, Ilyas; Trollvik, Anne; Larsson, Bodil Wilde & Hov, Reidun (2018). A Healthy Person: Indonesian and Scandinavian Nursing Students' perceptions.
• Høye, Sevald (2018). S.Høye, Presentation: new professors at The Faculty of Nursing and Health Sciences, Nord University.
• Høye, Sevald (2018). Utdanner avanserte kliniske sykepleiere i Innlandet. [Internett]. Khrono.no.
• Høye, Sevald (2018). Utdanner avanserte sykepleiere. [Avis]. Østlendingen.
• Høye, Sevald (2018). Neste år kommer de avanserte sykepleierne (Debattinnlegg). [Avis]. Hamar Arbeiderblad.
• Høye, Sevald (2017). Utdanning av spesialsykepleiere til engasjerte fagutviklere og forskere .
• Furnes, Merete; Kvaal, Kari & Høye, Sevald (2017). Nursing students’ perspective on implementation of digital learning methods in mental health nursing course.
• Høye, Sevald (2017). Førsteopponent ved PhD-disputas: Lise-Merete Alpers - "Helsepersonells kompetansebehov i møte med etniske minoritetspasienter".
• Høye, Sevald (2017). Personer med migrasjonsbakgrunn-utfordring eller fascinasjon for sykepleiere?
• Høye, Sevald (2017). Helsekonsekvenser ved migrasjon og sykepleiers rolle.
• Høye, Sevald (2017). Være annerledes i møte med norsk helsevesen? [Avis]. Hamar Arbeiderblad.
• Høye, Sevald (2017). Norske sykepleieres møte med annerledeshet. Sykepleien. ISSN 0802-9768.
• Høye, Sevald (2016). Vi er alle pasienter og pårørende- er det farlig å være annerledes? Søkelys på pasienters og familiers oppfatninger av norsk helsevesen i et migrasjonsperspektiv. - Hvilke helseutfordringer møter immigranter med annen kulturbakgrunn? - Hvordan kan sykepleiere og øvrig helsepersonell møte annerledeshet?
• Sandsdalen, Tuva; Hov, Reidun; Høye, Sevald; Rystedt, Ingrid & Larsson, Bodil Wilde (2016). What preferences regarding quality of palliative care services are expressed by patients in a palliative phase of their illness? A systematic mixed studies review.
• Sandsdalen, Tuva; Hov, Reidun; Høye, Sevald; Rystedt, Ingrid; Grøndahl, Vigdis Abrahamsen & Larsson, Bodil Wilde (2016). Patients’ perceptions of palliative care quality in four settings; hospice inpatient care, hospice day care, palliative units in nursing homes, and home care.
• Renolen, Åste; Høye, Sevald; Hjälmhult, Esther; Danbolt, Lars Johan & Kirkevold, Marit (2016). Kunnskapsbasert praksis og sykepleieres utfordringer med å ta i bruk ny forskningskunnskap i klinisk praksis.
• Myhre, Janne; Kvaal, Kari; Tonga, Johanne Bjørnstad; Høye, Sevald & Ulstein, Ingun (2016). Cognitive behaviour therapy in dementia care - the Norwegian KORDIAL study: The relatives' perspectives on everyday life after the intervention.
• Kvaal, Kari; Myhre, Janne; Høye, Sevald; Tonga, Johanne Bjørnstad & Ulstein, Ingun (2016). Cognitive behavioural therapy in dementia care: The Norwegian KORDIAL-study.
• Høye, Sevald (2016). Master i avansert klinisk sykepleie innen kommunehelsetjenesten ved Høgskolen i Hedmark - planer og betingelser.
• Høye, Sevald; Kvigne, Kari; Åström, Sture; Severinsson, Elisabeth & Öster, Inger (2015). Encounters between multicultural female family members and nurses in intensive care units. Vis sammendrag

  Background: The increase in people on the move creates populations that are culturally diverse. People meet various challenges regarding the migration process, social life, jobs and health issues. When a person suffers from acute and critical illness, he/she may be in need of intensive care. The aim of this study was to explore the comprehension of culture, caring and gender among first and second generation immigrant women as relatives on their encounters with intensive care nurses in Norwegian hospitals. Methods: A design based upon discursive psychology to explore subject positions, interpretative repertoires and ideological dilemmas focused immigrant female relatives’ experiences with a cultural and gender perspective. Immigrants who were relatives to critically ill people were interviewed. Results: The results of the discourse analysis revealed the following themes: being the caring person as woman, being intertwined between the Western hospital culture and the original family culture and belonging to a minority in a Western majority culture. Conclusion: The women in the families with a critically ill family member mainly act as the caring person. There are dilemmas in how much every family transfer the responsibility for their loved one to the nurses. Anxious attitudes regarding caring activities are rarely linked to their cultural background.

• Høye, Sevald & Renolen, Åste (2015). Kvalitativ forskning- kvalitative forskningsmetoder med vekt på Grounded Theory.
• Myhre, Janne; Ulstein, Ingun; Høye, Sevald & Kvaal, Kari (2015). Kognitiv atferdsterapi til personer med demens: Pårørendes erfaringer med "moralsk stress".
• Kydland, Anne Grethe R & Høye, Sevald (2015). Reducing the gap between theory and practice through nursing documentation.
• Kydland, Anne Grethe R & Høye, Sevald (2015). Samspill mellom øvingsavdeling og praksis i sykepleie - mer læring? Nordisk sygeplejeforskning. ISSN 1892-2678. 5(1). Vis sammendrag

  Et samarbeidsprosjekt mellom høgskole og sykehus som hadde til hensikt å kvalitetssikre læringsutbytte i sykepleie til akutt og kritisk syke i spesialisthelsetjenesten i bachelorstudentenes 3. semester, ved å prøve ut en intervensjon basert på samspill om læring av praktiske ferdigheter i både sykehus og øvingsavdeling. Læringsutbyttet ble definert i samarbeid mellom lærer og veileder og studentene arbeidet etter ukentlige tema. Prosjektets forskningsspørsmål har vært: Hva kjennetegner et miljø som fremmer læringsutbytte av praktiske ferdigheter i sykepleie? Prosjektet ble evaluert i fokusgruppeintervju og analysert etter stegvis-deduktiv induktiv metode. Funn var i hovedsak at rom og tid, tydeliggjøring av forventinger, forberedt kunnskap og relevante øvelser fremmer læringsutbytte. Konklusjonen er at samspill mellom høyskole og praksisfelt kan fremme læring ved tydeliggjøring av læringsutbytte og tilrettelegging for at det skal oppnås.

• Sandsdalen, Tuva; Hov, Reidun; Høye, Sevald; Rystedt, Ingrid & Larsson, Bodil Wilde (2014). What are patients’ preferences in the palliative phase with regard to the quality of their palliative care? A systematic mixed studies review.
• Sandsdalen, Tuva; Hov, Reidun; Høye, Sevald; Rystedt, Ingrid & Larsson, Bodil Wilde (2014). What preferences regarding quality of palliative care services are expressed by patients in a palliative phase of their illness? A systematic mixed studies review. Palliative Medicine. ISSN 0269-2163. 28(6).
• Sandsdalen, Tuva; Hov, Reidun; Høye, Sevald; Rystedt, Ingrid & Larsson, Bodil Wilde (2014). What preferences regarding quality of palliative care services are expressed by patients in a palliateive phase of their illness? A systematic mixed studies review.
• Høye, Sevald; Kvigne, Kari; Åström, Sture; Severinsson, Ingeborg Elisabeth & Öster, Inger (2014). Young immigrant women and intensive care nurses experiences in Norwegian hospitals - A discourse analysis.
• Høye, Sevald; Kvigne, Kari; Gillund, Margrethe Valen; Abubakar, Suwarni; Larsson, Bodil Wilde & Nordström, Gun [Vis alle 8 forfattere av denne artikkelen] (2014). Indonesian and Scandinavian nursing students' perceptions of what characterizes a healthy person. Vis sammendrag

  Background The daily life contexts for nursing students in Indonesia and Scandinavian countries differ in several ways, such as religion, level of societal development, nature, and health. According to the World Health Organization, a number of population-based health status indicators differ between the countries; such as life expectancy at birth, the under-5 mortality rate and total health expenditures as a share of the Gross National Product (GNP). We assume that life contexts may influence how nursing students characterize a healthy person. Theaim To describe how first-year nursing students in Indonesia, Sweden and Norway characterize “a healthy person”. Method An open-ended question regarding the characteristics of a person of good health was included as part of a comprehensive questionnaire about life circumstances, health status and professional development among nursing students in Indonesia, Sweden and Norway. The response rate of this question was in Indonesia (N=237)(83%), in Sweden (N=61)(87%) and in Norway (N=153)(74%). The data from the open question was analyzed by qualitative content analysis. Findings Five categories were preliminarily identified from the nursing students’ descriptions: having a healthy body, following the rules of life, keeping a healthy environment, experiencing well-being and inner harmony and coping with challenges. Among the nursing students in the three countries the categories contained more similarities than differences. Conclusion This study highlights aspects of similarities and differences of what is considered “healthy people” among nursing students in Indonesia and Scandinavia. In nursing educations in contrasting cultural contexts, these findings may provide valuable contributions to our further understanding of health.

• Mytting, Tuva Helene Sandsdalen; Wilde-Larsson, Bodil; Hov, Reidun; Høye, Sevald & Rystedt, Ingrid (2013). Hva er betydningsfullt for pasienter i palliativ omsorg?
• Høye, Sevald (2013). Flerkulturelt perspektiv ved helseveiledning av pasienter og pårørende. I Cristiansen, Bjørg (Red.), Helseveiledning. Gyldendal Akademisk. ISSN 978-82-05-44350-1. s. 134–160.
• Høye, Sevald; Ulstein, Ingun; Halding, Anne-Grethe; Kvaal, Kari & Kvigne, Kari (2013). Ensomhet hos hjemmmeboende eldre.
• Mytting, Tuva Helene Sandsdalen; Espelund, Åse; Hagen Mæhlum, Else & Høye, Sevald (2012). Kompetansebygging for å forebygge VAP. Inspira – tidsskrift for anestesi-, operasjon- og intensivsykepleiere. ISSN 0809-9707. s. 11–16. Vis sammendrag

  Artikkelen tar utgangspunkt i en prosjektrapport fra et samarbeidsprosjekt mellom Videreutdanningen i intensivsykepleie ved Høgskolen i Hedmark og intensivavdelingene i Elverum og Hamar, Sykehuset Innlandet HF. Hensikten med samarbeidsprosjektet var å fremme kompetansen hos sykepleiere i intensivavdelingene og studenter i videreutdanning i intensivsykepleie i å forebygge VAP (ventilator assosiert pneumoni) for oralintuberte respiratorpasienter.

• Leiknes, Ingrid & Høye, Sevald (2012). “Family caregivers experiences of provided home care to persons with Parkinsons disease” Omsorgspersoner til personer med Parkinsons sykdom i hjemmesykepleien. Vis sammendrag

  Bakgrunn: Pårørende utgjør en viktig del av den daglige pleie og omsorg for personer med Parkinsons sykdom. Når sykdommen utvikles vil mange ha behov for hjemmesykepleie. Hensikt: Målet med denne studien var å studere hvordan pårørende opplever sin situasjon når de deler omsorgsansvaret med pleiere i hjemmesykepleien. Metode: Ni pårørende på vestlandet ble intervjuet. Intervjuene ble analysert innenfor en hermeneutisk ramme. Funn: Overordnede tema som kom fram under analysen var pårørendes opplevelse av "å være i døgnkontinuerlig beredskap". Det overordnede tema bygger på fire undertema som viser tolkningen av ulike sider ved pårørendes erfaringer med å dele omsorgsansvaret med hjemmesykepleien ; Problem med å avgrense eget ansvar som pårørende; Avlasting er knyttet til å motta riktig hjelp når en trenger det; Ønske om at deres kjære skal ha den beste omsorg, og Krav til riktig administrering av parkinsonmedisin passer dårlig inn i hjemmesykepleiens rutiner. Konklusjon: Resultatene tyder på at omsorg for en person med Parkinsons sykdom er en kompleks oppgave som utfordrer pårørendes sårbarhet og ansvar. Selv om hjemmesykepleien oppleves avlastende, gir tilbudet også grunnlag for nye utfordringer som kan utløse skyldfølelse.

• Høye, Sevald (2012). Unge immigranter i sykehus- diskursanalyse for å avdekke posisjoner og dilemma.
• Mytting, Tuva Helene Sandsdalen; Espelund, Åse; Hagen, Else Mæhlum & Høye, Sevald (2011). Kompetansebygging for å forebygge ventilatorassosiert pneumoni (VAP).
• Høye, Sevald (2011). Språk og kultur som en ressurs i profesjonsutøvelse.
• Høye, Sevald & Kvigne, Kari Johanne (2011). Forskning og utdanning i sykepleie på tvers av landegrenser. [Avis]. Hamar Arbeiderblad. Vis sammendrag

  Høgskoler har tre oppgaver; undervisning, forskning og formidling. I perioden 2008 til 2012 studerer 6 indonesiske lærere og sykepleiere helse-/sykepleiefag ved Høgskolen i Hedmark, Campus Elverum. Forskningskonferansen Clinical Nursing Facing the Future i Banda Aceh 16.-18. juni 2011 satte anvendelse av sykepleieforskning i fokus. Forskningssamarbeidet mellom Høgskolen i Hedmark, Karlstads Universitet og sykepleierutdanningen på Sabang, Banda Aceh fortsetter med to store prosjekter.

• Høye, Sevald (2011). Pasientsikkerhetskultur: helseprofesjoners kompetanse?
• Høye, Sevald & Severinsson, Elisabeth (2011). Cultural and professional conflicts for nurses. Vis sammendrag

  Purpose: To explore Norwegian intensive care nurses’ experiences of conflicts related to practical situations when they encounter culturally diverse families of critically ill patients. Background: Conflicts can arise in critical care settings as a result of differing cultural and professional values. Nurses and families with diverse ethnic-cultural backgrounds bring beliefs and understandings to the care situation that can have an impact on the care process. Such families are challenged in their efforts to maintain traditions, while some nurses are not sufficiently culturally aware. A limited number of studies have focused on such conflicts. Research Method: Sixteen critical care nurses in three Norwegian university hospitals took part in multistage focus group interviews conducted from October 2005 to June 2006. The data were analysed using qualitative content analysis. Results: The main theme, Conflict between professional nursing practice and family cultural traditions, was based on three pairs of conflicting themes: Culturally based need to participate actively in the care vs. nurses’ professional perceptions of themselves as total care providers; Nurses’ professional obligation to provide comprehensible information vs. culturally based communication difficulties and responses to illness; and Families’ needs for cultural norms and self-determination vs. nurses’ professional responsibility for the clinical environment. Conclusion: Nurses need to negotiate with culturally diverse family members to address conflicts. In nurses’ encounters with such families, they should establish a balance between ethnocentricity and cultural sensitivity. An implication for practice is to increase nurses’ competence in assessment of diversity. Keywords: critical care, cultural conflicts, focus groups, nurses, professional conflicts

• Høye, Sevald (2011). Møte mellom sykepleiere og flerkulturelle familier i norske sykehus.
• Høye, Sevald (2010). Profesjonelle og kulturelle konflikter i intensivsykepleie Professional and cultural conflicts for intensive care nurses. Vis sammendrag

  Aim. This paper is a report of a study exploring intensive care nurses? experiences of conflicts related to practical situations when they encounter culturally diverse families of critically ill patients. Background. Conflicts can arise in critical care settings as a result of differing cultural and professional values. Nurses and families with diverse cultural backgrounds bring beliefs and understandings to the care situation that can have an impact on the care process. Such families are challenged in their efforts to maintain traditions, while some nurses are not sufficiently culturally aware. A limited number of studies have focused on such conflicts. Method. Sixteen critical care nurses took part in multistage focus group interviews conducted from October 2005 to June 2006. The data were analysed using qualitative content analysis. Findings. The main theme, ?conflict between professional nursing practice and family cultural traditions?, was based on three pairs of conflicting themes: ?culturally based need to participate actively in the care vs. nurses? professional perceptions of themselves as total care providers?; ?nurses? professional obligation to provide comprehensible information vs. culturally based communication difficulties and responses to illness?; and ?families? needs for cultural norms and self-determination vs. nurses? professional responsibility for the clinical environment?. In addition, each pair of themes contained several sub-themes. Conclusion. Nurses need to negotiate with culturally diverse family members to address conflicts. In their encounters with such families, they should establish a balance between ethnocentricity and cultural sensitivity. An implication for practice is to increase nurses? competence in assessment of diversity.

• Høye, Sevald (2010). Flerkulturelle i møte med norsk helsevesen Multicultural family members? experiences with nurses and the intensive care context: A hermeneutic study. Vis sammendrag

  Background: The aim of this study was to illuminate the experiences of multicultural family members in intensive care units in hospitals, when a loved one was critically ill. An increasing migration from non-Western countries to Norway and potential double-stress for multicultural families experiencing critical illness are pre-understandings. Methods: The study utilised a Gadamerian hermeneutic design. Data were collected through indepth-interviews (n = 5) and interpreted, inspired by Lindseth and Norberg?s phenomenological hermeneutical method. Findings: Multicultural family members? experiences of their encounters with nurses were understood as: ?Struggling to preserve the families? cultural belonging within the health care system?, based on four themes: (a) filtering information to reduce concern; (b) understanding and being understood; (c) protecting cultural traditions and (d) interaction between roles, rules and expectations. Conclusion: Family members with a non-Western ethnic background experienced several challenges within the complex ICU environment. Multicultural family members had distinct strategies to deal with the hospitalisation of a critically ill loved one. Interaction difficulties and cultural traditions were not influenced by the environment alone, however the challenges seemed to deal with universal human interaction independent of the context. Nurses need to be sensitive to the families? cultural customs in order to meet their expectations in a respectful way.

• Høye, Sevald & Severinsson, Elisabeth (2010). Strever i møte med akuttmottaket Flerkulturelle strever med å forene sin egen kulturelle tilhørighet med det sett av regler og normer de møter i et norsk akuttmottak.
• Høye, Sevald & Severinsson, Elisabeth (2010). Kulturkollisjon på akutten Smertehyl og høyst tilstedeværende familiemedlemmer skaper utfordringer når innvandrere skal behandles på norske sjukehus.
• Høye, Sevald & Severinsson, Elisabeth (2010). Kulturkollisjon i norske sykehus Norske sykepleiere på akuttmottak trenger mer kunnskap om kulturforståelse og konfliktløsning.
• Høye, Sevald & Severinsson, Elisabeth (2010). Strever i møte med helsevesenet Familiemedlemmer med ikke-vestlig bakgrunn møter flere utfordringer i et norsk akuttmottak. De velger sine strategier, først og fremst for å ivareta familiens kultur i møtet med helsevesenet.
• Høye, Sevald & Severinsson, Elisabeth (2010). Kulturkollisjon ved sykesengen Norske sykepleiere er ikke vant til pasienter som kryper sammen eller hyler i smerte, eller at femti familiemedlemmer fyller akuttavdelingen for å vise sin medfølelse.
• Høye, Sevald & Severinsson, Elisabeth (2010). Professional and cultural conflicts for intensive care nurses.
• Høye, Sevald (2009). Doktoren svarer Kulturmøter skaper kulturstress på sykehusene.
• Høye, Sevald (2009). Mannen bestemmer, også på sykehuset Kulturkonflikter skaper stress når ikke-vestlige innvandrere havner på norske sykehus.
• Høye, Sevald (2009). Vitenskapsteori og kvalitative forskningsmetoder. Forelesningsrekke, 40 timer.
• Høye, Sevald (2009). Hvilke verdier skal gjelde for folkehelse i Elverum? Utdatert tankegods eller omskriving av kjente begrep? Østlendingen. Vis sammendrag

  Introduksjon Folkehelse - gammelt nytt Trusler mot sunnhetsideologien Framtidsløsninger Videre bestrebelser..

• Høye, Sevald & Hall-Lord, Marie-Louise (2009). Adgang til sykehuset som forskningsfelt Erfaringer fra arbeidsgruppe i Innlandet.
• Høye, Sevald (2009). Styrken i kulturelt mangfold Møte mellom flerkulturelle familier og sykepleiere på intensivavdelinger. Vis sammendrag

  Introduksjon Teoretisk bakgrunn Forskningsspørsmål Design og metode Funn Tolkninger Konklusjoner

• Høye, Sevald (2009). Styrken i kulturelt mangfold Familiemedlemmers og intensivsykepleieres syn på møter i intensivavdelinger. Vis sammendrag

  Introduksjon til doktorgradsstudien Teoretisk bakgrunn - møte, stress, familie, kultur, etnisitet, flerkulturalisme Mål og forskningsspørsmål Design og metode - hermeneutikk, informanter/kilder, datasamling, data-analyse Funn - erfaringer fra flerkulturelle familier, intensivsykepleieres oppfatninger, konflikter i sykepleieres møte med flerkult familier, metodisk kongruens i kvalitativ forskning når familier er involvert i intensivsykepleie Fortolkninger og diskusjon Konklusjoner - utfordringer, strev, arbeidsstress, familiers behov uavheng av etnisk bakgrunn, respekt/verdighet, kompetanse Videre forskning

• Mytting, Tuva Helene Sandsdalen; Espelund, Åse; Mæhlum, Else Hagen & Høye, Sevald (2011). Sammen blir vi gode: kompetansebygging for å forebygge VAP (ventilator assosierte pneumoni). Høgskolen i Hedmark. ISSN 9788276718553.

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